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A client 3 days post a complex femur fracture suddenly develops shortness of breath, chest pain, and confusion.  The nurse notes petechiae on the chest and upper arms. Lung sounds reveal fine crackles.  Vital signs are noted below.             Vital Signs BP (mmHg) 166/89 HR (beats/min) 108 RR (breaths/min) 26 SpO2 89% RA Temp 101.3 F Which nursing action is the priority?

During a home visit, the nurse assesses a client with chronic COPD who uses oxygen at 2 L/min by nasal cannula. The client states, “I feel much more short of breath than usual today.” Which findings should the nurse identify as signs of an acute worsening in the client’s respiratory status? Select all that apply

A client with elevated blood pressure asks which lifestyle changes can help lower blood pressure. Which interventions should the nurse include in the teaching? Select all that apply.

A client is admitted after 4 days of persistent vomiting and poor oral intake. The nurse notes dry mucous membranes, generalized weakness, and reports of dizziness when standing. Vital signs and ABG results are as follows:              Vital Signs BP (lying) 92/64 mmHg HR  108 bpm RR 24 SpO2 99% RA Temp 98.9 F   ABGs pH 7.48 PaCO₂ 48 mmHg HCO₃⁻ 34 mEq/L Which additional assessment findings would the nurse anticipate? Select all that apply.

The nurse notes that a client with COPD is in their usual tripod position, speaking in full sentences, and denies increased dyspnea or sputum changes. The client’s SpO₂ is 88% on 2 L/min.  Which action by the nurse is most appropriate

A client is anxious and breathing rapidly after receiving unexpected bad news. They report tingling in their hands and dizziness. The nurse anticipates which compensatory response if this imbalance continues?

A client with peripheral arterial disease tells the nurse, “My legs start hurting and feeling tight when I walk, but the pain stops when I sit down.” Which interpretation should the nurse use when assessing this finding?

A client with advanced COPD arrives with increasing confusion, shallow respirations, and difficulty speaking in full sentences. ABG results are: ABGs pH 7.28 PaCO₂ 58 mmHg HCO₃⁻ 30 mEq/L PaO₂ 60 mmHg SaO₂ 84 Based on this information, what is nurse’s best interpretation of the client’s oxygenation status? 

Which of the following statements about the vulnerability of information systems is INCORRECT?

A company requires employees to log in using a password AND a one-time code sent to their smartphone. This is an example of which security approach, and why does it improve security?